Abstract

Background: Stapled haemorrhoidectomy (SH) described by Longo has been a recently added option for hemorrhoid surgery. Interest in SH has been principally driven by the fact that conventional excision haemorrhoidectomy (EH) has been an extremely painful procedure as it involves excision of haemorrhoidal tissue along the extremely sensitive anoderm. SH on the other hand has been shown to be associated with decreased postoperative pain, as it does not involve the sensate anal mucosa below the dentate line. To date there have been many randomized controlled studies comparing circular stapled haemorrhoidectomy with traditional excision techniques. Despite proven early postoperative advantages for SH the long-term benefits and effect on patients quality of life (QOL) compared to EH still remains to be debated. Methods: To evaluate long-term patient outcomes via a validated health related QOL survey. Results: QOL measures were satisfactory in both groups across all subscales of physical health summary measures and mental health summary measures. This coincided with Wexner continence scores, which were also satisfactory with median of 0 in both groups. Conclusion: QOL, continence scores and long term symptom follow-up is similar in patients that undergo SH or EH.

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